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临床医生质量改进工具简介。

Introduction to quality improvement tools for the clinician.

机构信息

Division of Neonatology, Barbara Bush Children's Hospital, Maine Medical Center, 22 Bramhall Street, Portland, ME, 04102, USA.

出版信息

J Perinatol. 2018 Jul;38(7):929-935. doi: 10.1038/s41372-018-0100-4. Epub 2018 May 24.

Abstract

As physicians continue search for ways to deliver high quality care to their patients and families, newer tools and methods are being introduced. Initially developed by manufacturing, quality improvement methods have been slowly adopted by healthcare and are now standard curriculum in medical schools. The IHI Model for Improvement allows for teams to create. model for change, test proposed changes in clinical situations, measure the results and then accept or modify the proposed changes. Additional tools such as process maps, Pareto charts, Ishikawa diagrams, and key driver diagrams provide structure and visual representation to the team during the creation and implementation of. quality improvement initiative. As participation in quality improvement is becoming an expectation for all health care providers, familiarity with these tools will assist teams with implementing improved processes in their local systems of care.

摘要

随着医生继续寻找为患者及其家属提供高质量护理的方法,新的工具和方法正在被引入。质量改进方法最初由制造业开发,现已逐渐被医疗保健领域采用,目前已成为医学院的标准课程。IHI 改进模型允许团队创建变革模型,在临床情况下测试提出的变更,衡量结果,然后接受或修改提出的变更。其他工具,如流程图、帕累托图、石川图和关键驱动因素图,在质量改进举措的创建和实施过程中为团队提供了结构和可视化表示。随着质量改进的参与成为所有医疗保健提供者的期望,熟悉这些工具将有助于团队在其当地的护理系统中实施改进的流程。

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